| Entity Name: | KOTILA SPINE & JOINT CENTER OF BRANDON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jan 2015 (10 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 31 May 2022 (3 years ago) |
| Document Number: | L15000000871 |
| FEI/EIN Number | 47-2746055 |
| Address: | 1140 Pipestone Place, wesley chapel, FL, 33511, US |
| Mail Address: | 1367 OAKFIELD DRIVE, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427448406 | 2015-01-29 | 2015-01-29 | 1451 OAKFIELD DR, BRANDON, FL, 335114854, US | 1451 OAKFIELD DR, BRANDON, FL, 335114854, US | |||||||||||||||
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| Phone | +1 813-643-1242 |
| Fax | 8136431246 |
Authorized person
| Name | DR. GARY J KOTILA |
| Role | OWNER |
| Phone | 8136431242 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KOTILA GARY | Agent | 1367 OAKFIELD DRIVE, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| KOTILA GARY J | Managing Member | 1367 OAKFIELD DRIVE, BRANDON, FL, 33511 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000140009 | DISCOVER KOTILA SPINE & JOINT MEDICAL WELLNESS CENTER | ACTIVE | 2022-11-14 | 2027-12-31 | No data | 1367 OAKFIELD DRIVE, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-28 | 1140 Pipestone Place, wesley chapel, FL 33511 | No data |
| LC AMENDMENT | 2022-05-31 | No data | No data |
| LC STMNT OF RA/RO CHG | 2018-06-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-06-15 | KOTILA, GARY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-06-15 | 1367 OAKFIELD DRIVE, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-13 | 1140 Pipestone Place, wesley chapel, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| ANNUAL REPORT | 2023-04-29 |
| LC Amendment | 2022-05-31 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-02 |
| AMENDED ANNUAL REPORT | 2020-10-07 |
| ANNUAL REPORT | 2020-03-03 |
| AMENDED ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2019-02-12 |
| CORLCRACHG | 2018-06-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
